SHOULDER PAIN

ROTATOR CUFF TENDONITIS

The rotator cuff is a group of muscles that attach via tendons to the head of the upper arm bone (the humerus). The function of the cuff is to center the head of the humerus in the socket and move the arm. These tendons are in a constant state of rebuilding and breaking down. When the rate of breaking down exceeds the ability of the tendon to rebuild, micro tears occur causing pain and inflammation. This inflammation is known as tendonitis. In the extreme case, this inflammation can result in the failure of the tendon known as a rotator cuff tear.

CAUSES

• Over use. Engaging in repetitive overhead activities such as swimming, throwing, playing tennis,volley ball,basket ball,throw ball,cricket ,etc
• Age, As we age, the blood supply that allows the tendon to build up and break down decreases. Over the age of 40, this makes the tendon more prone to inflammation (i.e., tendonitis and tear)
• People who develop shoulder arthritis can form bone spurs that can impinge and wear the tendon leading it to tear
• Heavy manual labor jobs.
• Occupations involved include carpentry or house painting,house maid
• Infection
• Rheumatoid arthritis
• Amyloidosis
• Acute tear of the rotator cuff.
• Smoking
• Alcohol
• Obese
• Trauma

SYMPTOMS

• A dull ache deep in the shoulder
• Difficulty/ pain if sleeping, especially if you lie on the affected side
• Difficulty/pain reaching overhead or behind your back
• Weakness

PREVENTION

• Stretch regularly and before activity
• Strengthen your shoulder girdle muscles
• Maintain the range of motion of your shoulder
• Avoid nicotine
• Avoid smoking
• Avoid alcohol
• Gradually work up to heavy lifting if desired as part of your workout routine

Diagnosis

MRI SHOULDER JOINT

TREATMENT

• REST
• HOMEOPATHY MEDICINE
• PHYSIOTHERAPY